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1003048174
JARED SPENCER VAGY
SANTA MONICA, CA
NPI
1003048174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 35837)
Enumeration Date
2009-08-21
Last Update Date
2009-08-21
Business Address
Mr. JARED SPENCER VAGY PT
719 SANTA MONICA BLVD
SANTA MONICA, CA 90401-2601
Phone number: 310-260-9039
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Mailing Address
Mr. JARED SPENCER VAGY PT
632 N CATALINA ST
BURBANK, CA 91505-3245
Phone number: 503-453-0746
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